NPIMap

Organization Active NPI

Veterans Health Administration

  • Military General Acute Care Hospital
  • Charleston, WV
National Provider Identifier
1578871687
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military General Acute Care HospitalTaxonomy code 2865M2000X
License
DP00942744 Issued in WV
Legal business name
VETERANS HEALTH ADMINISTRATION
Practice address
104 Alex LN
Charleston, WV 25304-2952
Phone
(304) 926-6001
Fax
(304) 429-0287
NPI assigned
Sep 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Patience Renee Land, LICSW
Title
Clinical Social Worker
Phone
(304) 926-6001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military General Acute Care Hospital 2865M2000X DP00942744 WV Primary

Addresses

Primary practice location

104 Alex LN
Charleston, WV 25304-2952

Mailing address

104 Alex LN
Charleston, WV 25304-2952
Phone (304) 926-6001

National Provider Directory

National Provider Directory
Tax ID family
Huntington Vamc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1578871687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ALEX LN",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042952",
            "telephone_number": "304-926-6001",
            "fax_number": "304-429-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 ALEX LN",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042952",
            "telephone_number": "304-926-6001",
            "fax_number": "304-429-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS HEALTH ADMINISTRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "LAND",
        "authorized_official_first_name": "PATIENCE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "304-926-6001",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": "WV",
            "license": "DP00942744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.